SAMBASIVA KAMINENI


Address: 7901 Broadway, Elmhurst, NY 11373-1329
Phone: 7183342473

SAMBASIVA KAMINENI (NPI# 1912903006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912903006
Entity Type Individual
Full Name SAMBASIVA KAMINENI
Credential M.D.
Practice Address 7901 Broadway
Elmhurst
NY 11373-1329
Mailing Address 26 Club Dr
Roslyn Heights
NY 11577-2602
Practice Telephone 7183342473
Practice Fax Number 7182752673
Mailing Telephone 5164842326
Enumeration Date 2005-06-22
Last Update Date 2019-06-15
NPI Deactivation Date 03/16/2006
NPI Reactivation Date 2006-03-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery 214050 NY Allopathic & Osteopathic Physicians
Y 2086S0129X Surgery
Specialization: Vascular Surgery
214050 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY OXFORD P2214925 01
NY ELDERPLAN 162454 01
NY AETNA 0007447135 01
NY 02081872 05
NY HEALTHNET 3C3295 01
NY HEALTHFIRST 214050-A53 01
NY HIP 34141P 01
NY GHI 0199264 01
NY CIGNA 2323323003 01

Office Location

Street Address 7901 BROADWAY
City ELMHURST
State NY
Zip Code 11373-1329

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336748433 Lina Maria Rodriguez Social Worker 7901 Broadway, Elmhurst, NY 11373-1329 2020-10-20
1366049694 Reinelda Glizel Diaz Physical Therapist 7901 Broadway, Elmhurst, NY 11373-1329 2020-10-09
1831796705 Keysha Latanya Bonheur Registered Nurse 7901 Broadway, Elmhurst, NY 11373-1329 2020-10-05
1053927657 Puja Rai Occupational Therapist 7901 Broadway, Elmhurst, NY 11373-1329 2020-09-18
1619582764 Tenzin Wangmo Nurse Practitioner 7901 Broadway, Elmhurst, NY 11373-1329 2020-09-14
1629683578 Carmen Maria Chavez Fuenmayor Student in an Organized Health Care Education/Training Program 7901 Broadway, Elmhurst, NY 11373-1329 2020-09-08
1093329179 Dharma Dilia Herrera Vasquez Student in an Organized Health Care Education/Training Program 7901 Broadway, Elmhurst, NY 11373-1329 2020-09-04
1366054975 Mackenzie Jameson Social Worker 7901 Broadway, Elmhurst, NY 11373-1329 2020-08-17
1639788201 Nina Mariana Magdalena Andrias-ng Registered Nurse 7901 Broadway, Elmhurst, NY 11373-1329 2020-07-29
1356950497 Vyacheslav Davydov Physician Assistant 7901 Broadway, Elmhurst, NY 11373-1329 2020-07-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376152736 Carlos Eduardo Hallo Carrasco Student in an Organized Health Care Education/Training Program 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 2020-07-30
1912524034 Jurian Feygen Kaunang Student in an Organized Health Care Education/Training Program Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 2020-07-06
1407471352 Shreeya Parajull Student in an Organized Health Care Education/Training Program 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 2020-06-16
1114542479 Mahmud Omar Elfituri Student in an Organized Health Care Education/Training Program 79-01 Boradway, Elmhurst, NY 11373 2020-06-12
1568091452 Nudjarin Unsin Licensed Practical Nurse 7517 41stave, Apt.f3, Elmhurst, NY 11373 2020-04-03
1154969053 Joshua Reyes Physician Assistant 8839 Saint James Ave, Elmhurst, NY 11373 2019-12-11
1821647926 Shahorin Monzoor Student in an Organized Health Care Education/Training Program 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 2019-09-11
1174184600 Zoila Josefina Cano Rodriguez Student in an Organized Health Care Education/Training Program 7802 41st Ave, Elmhurst, NY 11373 2019-06-25
1891355756 Kanghee Cho Registered Nurse 4143 77th St Elmhurst, Elmhurst, NY 11373 2019-06-13
1861971947 Allen G Luke Acupuncturist 86-21 53 Ave, Elmhurst, NY 11373 2018-08-09
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386650331 Leon K. Eisen Surgery 7901 Broadway, Room A1-9, Elmhurst, NY 11373-1329 2006-07-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962003509 Gs Medical, P.C. Surgery 377-b Pearsall Ave, Cedarhurst, NY 11516 2020-11-02
1073128971 New York Vascular Group, Pllc Surgery 19 Laurel Ave Ste 102, Cornwall, NY 12518-1403 2020-09-09
1578190179 Camilo Jose Martinez Surgery 23 S Howell Ave Ste H, Centereach, NY 11720-4445 2020-03-24
1407483399 Interventional Medicine Surgery 1122a Coney Island Ave, Brooklyn, NY 11230-2307 2020-03-23
1487287975 Syracuse Professional Medical Services of New York LLC Surgery 1101 Erie Blvd E Ste 201a, Syracuse, NY 13210-1144 2020-02-13
1457983181 Syracuse Medical of New York LLC Surgery 1101 Erie Blvd E Ste 201b, Syracuse, NY 13210-1144 2020-02-11
1366914483 Star Veins Centers PC Surgery 225 W 35th St Frnt 2, New York, NY 10001-1904 2018-12-31
1528547312 Norwood Professional Medical Services of New York LLC Surgery 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 2018-08-13
1336628130 Norwood Medical of New York LLC Surgery 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 2018-08-13
1003393299 Bushwick Professional Medical Services of New York LLC Surgery 441 Knickerbocker Ave Ste A, Brooklyn, NY 11237-4508 2018-07-20
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Competitor

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City ELMHURST
Zip Code 11373

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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